Propriedades mecânicas e de corrosão de dois aços inoxidáveis austeníticos utilizados na fabricação de implantes ortopédicos

ASTM F 138 austenitic stainless steel is extensively used as an orthopedic implant material. However, some aspects, such as low strength in the annealed condition and susceptibility to localized corrosion, limit wider use of this kind of steel. Recently, a high-nitrogen austenitic stainless steel, specified in the standard ISO 5832-9, has been indicated as an alternative to ASTM F 138 steel for more severe loading and permanent application inside the human body. In this work, microstructure, mechanical properties, corrosion resistance and fatigue behavior of both steels were determined and compared. ISO 5832-9 steel displayed better mechanical and corrosion behaviors than did ASTM F 138 steel The combination of these features lead ISO steel to enhanced fatigue performance in both neutral and aggressive environments. Analyzed were the role of nitrogen in solid solution, combined with niobium in the Z-phase, and the factors that led to superior ISO 5832-9 properties.

Instalación inmediata de prótesis provisionales en la reapertura de implantes

The study of techniques to reach aesthetics in the anterior region when using osseointegrated implants is of great importance. A literature review was made to compare effivciency and suitability of immediate provisionalization in re-opening of osseointegrated implants with respect to the set time (use of standardized cicatrizants and emergency profile cicatrizants). Immediate provisional denture in the phase of re-opening makes the restoration of the gingival contourn quicker when compared to the use of cicatrizants without intermediate phases required. © 2008 1995, Editorial Ciencias médicas.

Extrusão dos implantes em portadores de cavidade anoftálmica

Purpose: To evaluate the characteristics of patients with anophthalmic cavity who developed sphere extrusion. Methods: A retrospective observational study was done evaluating 37 patients with anophthalmic cavity and sphere extrusion at the Faculdade de Medicina de Botucatu-UNESP. Results: Extrusion was observed in enucleated and eviscerated cavities. The majority of the patients had the eye removed because of phthisis bulbi or trauma and the extrusion happened 1 or 2 years after the surgery. Extrusion was preceded by conjunctival dehiscence and exposure of the sphere and occurred with all used implants. Conclusion: Complications after orbital implant placement are a possibility. Dehiscence and sphere extrusion may happen and another surgery would be necessary. The patient and the ophthalmologist have to be prepared for this.

Utilização de implantes para o manejo de cavidades anoftálmicas

The implants are usually used after removal of the eye or its internal content, in order to maintain the orbital volume or, as in medicine, provide also the subsequent placement of ocular prosthesis. Considering prosthetic surgery procedures of high relevance in human and veterinary ophthalmology, this paper seek to review the main types of implants described in national and international literature, as well as describe the main complications when they are used in humans and veterinary patients.

Avaliação microbiológica da superfície dos implantes ortopédicos metálicos usados para fixar fraturas ósseas

In the majority of cases of bone fracture requiring surgery, orthopedic implants (screw-plate and screw) are used for osteosynthesis and the infections associated with such implants are due to the growth of microorganisms in biofilms. The objective of this study was to identify microorganisms recovered from osteosynthesis implants used to fix bone fractures, to assess the viability of the cells and the ability of staphylococci to adhere to a substrate and to determine their sensitivity/resistance to antimicrobials. After surgical removal, the metal parts of austenitic stainless steel (ASTM F138/F139 or ISO NBR 5832-1/9) were transported to the Laboratory of Clinical Microbiology, washed in buffer and subjected to ultrasonic bath at 40±2 kHz for 5 minutes. The sonicated fluid was used to seed solid culture media and cell viability was assessed under the microscope by with the aid of a fluorescent marker. The production of extracellular polysaccharide by Staphylococcus spp. was investigated by means of adhesion to a polystyrene plate. The profile of susceptibility to antimicrobials was determined by the disk diffusion assay. The most frequently isolated bacteria included coagulase-negative Staphylococcus resistant to erythromycin, clindamycin and oxacillin. Less frequent were Pseudomonas aeruginosa resistant to trimethoprim/sulfamethoxazole and ampicillin, Acinetobacter baumannii resistant to ceftazidime, Enterobacter cloacae resistant to cephalothin, cefoxitin, cefazolin, levofloxacin and ciprofloxacin, Bacillus spp. and Candida tropicalis. The observation of slides by fluorescence microscope showed clusters of living cells embedded in a transparent matrix. The test for adherence of coagulase-negative Staphylococcus to a polystyrene plate showed that these microorganisms produce extracellular polysaccharide. In conclusion, the metal parts were colonized by bacteria related to orthopedic implant infection, which were resistant to multiple antibiotics.

O uso de implantes orbitários no reparo de cavidades anoftálmicas

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação da formação óssea em implantes dentários de ratos não diabéticos, diabéticos não controlados e controlados com insulina

Pós-graduação em Bases Gerais da Cirurgia - FMB

Aplicação do copolímero PLA/PGA adicionado ao fosfato de cálcio ao redor de implantes osseointegráveis instalados sem estabilidade primária em tíbia de coelhos: estudo biomecânico, histométrico e imunoistoquímico

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação comparativa da viabilidade celular imediata após osteotomia para implantes com fresas e piezocirurgia em tíbias de coelhos: análise imunoistoquímica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência da técnica cirúrgica guiada para implantes sobre o aquecimento ósseo, a viabilidade celular imediata e a deformação de fresas após osteotomia para implantes

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da deformação, perda de massa e rugosidade das fresas, após osteotomia para implantes osseointegrados, com diferentes tipos de metais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação do copolímero de ácido polilático e poliglicólico ao redor de implantes osseointegráveis sem estabilidade primária: análise biomecânica, histométrica e imunoistoquímica em coelhos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Caracterização química e morfológica de implantes Ti-Mo com superfícies usinadas e modificadas por feixe de laser: análises biomecânica, histológica e histométrica em coelhos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Avaliação do aquecimento ósseo, da viabilidade celular imediata e da deformação de fresas de alta resistência após osteotomia para implantes em tíbias de coelhos

Pós-graduação em Odontologia - FOA

Implante de cimento de alfa-fosfato tricálcico de dupla pega munido de canais de interconexão em órbita de coelhos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)